KIMBERLY HOLT (NPI# 1457909442) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457909442 |
| Entity Type | Individual |
| Full Name | KIMBERLY HOLT |
| Credential | LPC |
| Practice Address |
589 Hospital Dr Ste E Warren PA 16365-4875 |
| Practice Telephone | 8147231330 |
| Practice Fax Number | 8147235744 |
| Mailing Telephone | 8147231330 |
| Mailing Fax Number | 8147235744 |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2019-09-03 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
PC005035 | PA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164540597 | Kimberly Shaw Lumpkin Holt | Specialist/Technologist | 113 Duke of Gloucester St, Annapolis, MD 21401-2528 | 2007-03-26 |
| 1255401931 | Kimberly Holt | Psychologist | 430 Next Day Hill Dr, Englewood, NJ 07631-1924 | 2006-11-09 |
| 1962924084 | Kimberly Holt | Nurse Practitioner | 615 S Bower St, Greenville, MI 48838-2614 | 2017-07-11 |
| 1225371461 | Kimberly Gail Holt | Dentist | 5072 W Plano Pkwy, # 180, Plano, TX 75093-4476 | 2013-04-05 |
| 1730496423 | Kimberly Kay Holt | Nurse Practitioner | 715 Grandview Ave, Pawhuska, OK 74056-3201 | 2010-09-02 |
| 1740460385 | Kimberly Suzanne Holt | Occupational Therapist | 8700 9th Ave, Suite 103, Port Arthur, TX 77642-8030 | 2007-11-12 |
| 1306059639 | Kimberly Holt | Registered Nurse | 402 S 4th Ave, Yakima, WA 98902-3546 | 2007-05-07 |
| 1720136328 | Kimberly Anne Holt | Physical Therapist | 4560 Se International Way, #100 Consonus Rehab Services, Milwaukie, OR 97222 | 2007-01-08 |
| 1053427757 | Kimberly V. Holt | Occupational Therapist | 102 Eastbrook Dr, Suite C, Greenville, NC 27858-4211 | 2006-08-22 |
| Street Address |
589 HOSPITAL DR STE E |
| City | WARREN |
| State | PA |
| Zip Code | 16365-4875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124688783 | Jada Deloof | Counselor | 589 Hospital Dr Ste E, Warren, PA 16365-4875 | 2019-06-17 |
| 1124640099 | Jennifer Chase | Social Worker | 589 Hospital Dr Ste E, Warren, PA 16365-4875 | 2020-05-13 |
| 1407486350 | Celeste Tidrick | Counselor | 589 Hospital Dr Ste E, Warren, PA 16365-4875 | 2020-01-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712759 | James Hickey | Dentist | 94 Egypt Hollow Rd, Warren, PA 16365 | 2020-08-31 |
| 1437674579 | Theresa Elizabeth Cook | Speech-Language Pathologist | Rehabworks At Warren General Hospital, Two Crescent Park West, Warren, PA 16365 | 2017-08-10 |
| 1891160982 | Vanessa Frank Humphrey | Occupational Therapy Assistant | 682 Pleasant Drive, Warren, PA 16365 | 2015-12-01 |
| 1740651967 | John L. Harrington | Psychiatry & Neurology | 4 Second Ave. Apt. #2, Warren, PA 16365 | 2015-10-14 |
| 1992046569 | Carrie Lynn Vaughn | Physical Therapy Assistant | 1048 Pennslvania Ave West, Warren, PA 16365 | 2013-03-07 |
| 1750664488 | William Frederick Menz | Pharmacist | 2901 Market Street, (walmart), Warren, PA 16365 | 2011-09-20 |
| 1669617296 | Donald Nicholas Vandamia | Family Medicine | 64 Leda Lane, Warren, PA 16365 | 2008-12-11 |
| 1013187558 | Chad Michael Ristau | Nurse Anesthetist, Certified Registered | 2 Crescent Park West., Warren General Hospital, Warren, PA 16365 | 2008-03-11 |
| 1407072473 | Family Physical Therapy | Physical Therapist | 218 Liberty St, Warren, PA 16365 | 2007-04-18 |
| 1801927330 | Wal-mart Stores East, L.p. | Technician/Technologist | 2901 Market St., Warren, PA 16365 | 2007-03-08 |
| Find all providers in zip 16365 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942932 | Ann Marie Mcpherson | Counselor | 25551 Pine View Ave, Warren, MI 48091-3888 | 2020-11-02 |
| 1528688397 | Jordan Triner | Counselor | 31201 Chicago Rd S Ste A201, Warren, MI 48093-5552 | 2020-04-22 |
| 1134767098 | Ramona Skriiko LLC | Counselor | 1891 Niles Cortland Rd Ne, Warren, OH 44484-1058 | 2019-12-11 |
| 1124688783 | Jada Deloof | Counselor | 589 Hospital Dr Ste E, Warren, PA 16365-4875 | 2019-06-17 |
| 1073086757 | Natalie Eden | Counselor | 315 2nd Ave Ste 207, Warren, PA 16365-2439 | 2019-01-06 |
| 1942727706 | Matthew Menard | Counselor | 212 Jackson Ave, Warren, PA 16365-2640 | 2017-08-23 |
| 1811417587 | Restored Hope Counseling Services LLC | Counselor | 108 Main Ave Sw Ste 903, Warren, OH 44481-1010 | 2017-06-23 |
| 1518406263 | Building Bridges Behavioral Health Services | Counselor | 412 Market St., Warren, PA 16365-2305 | 2017-02-14 |
| 1972955631 | Bouharb Counseling LLC | Counselor | 2630 Dundee Dr, Warren, MI 48092-1038 | 2016-07-06 |
| 1689059925 | Lavita Modest | Counselor | 11443 E 13 Mile Rd Ste 401, Warren, MI 48093-6523 | 2015-07-28 |
| Find all providers in WARREN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.